Utilization Management Coordinator

Job Summary

A company is looking for a Utilization Management Coordinator I.

Key Responsibilities

• Serve as a liaison between financial counselors and business office staff while supporting the Intake Department
• Collaborate with management to address customer service issues and ensure smooth operations
• Obtain necessary authorizations from patients' PCPs and managed care companies for internal services

Required Qualifications

• At least one year of experience in insurance verification, billing, and collections in a medical office or hospital setting
• Experience with Medicaid patient eligibility verification
• Familiarity with entering notes and insurance changes into an EMR system
• Ability to review daily schedules for potential insurance coverage issues
• Proficiency in handling authorizations for Medipass patients